| NPI | 1326397456 |
|---|---|
| Former Name | JEANNETTE MARIE COUTURE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 41516) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 034652-1) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2025-03-25 |